Individual provider Active NPI

Duane Lewis Zink, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1205831476
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003277 Issued in WA
Practice address
5503 N Wall St
Spokane, WA 99205-6402
Phone
(509) 489-2020
Fax
(509) 489-3387
NPI assigned
Jun 15, 2005
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003277 WA Primary

Addresses

Primary practice location

5503 N Wall St
Spokane, WA 99205-6402

Mailing address

5503 N Wall St Ste a
Spokane, WA 99205-6402
Phone (509) 489-2020

Other identifiers 1

IdentifierTypeStateIssuer
2019651MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000222 WA Practitioner - Optometry 6608853882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa Barnhart OD PLLCGroup PAC ID 4880828466, 5 clinicians

Practice addresses (Care Compare)

12 E Rowan Ave
Suite 1
Spokane, WA 99207-1281
Phone (509) 487-0600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Barnhart, OD, PLLC Optometrist CurrentSince Oct 30, 2019 Accepting new patients
James C Wavra Optometrist PastSince Oct 30, 2019 Accepting new patients
Little Mo's Optical Boutique Past Accepting new patients
Cozza Optical Inc Past Accepting new patients

Locations

12 E Rowan Ave
Ste 1
Spokane, WA 99207
Phone (509) 466-2643

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1205831476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N WALL ST STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056402",
            "telephone_number": "509-489-2020",
            "fax_number": "509-489-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056402",
            "telephone_number": "509-489-2020",
            "fax_number": "509-489-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "DUANE",
        "middle_name": "LEWIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.